
Slow digestion or Gastroparesis is a condition in which food stays in the stomach for longer than it should. It may also be called delayed gastric emptying. Peristalsis is the normal movement of muscles of GIT, mainly stomach & intestine which helps in the movement of food bolus from mouth downwards to the rectum while digestion & absorption occur. Speed of peristalsis should be rhythmic & normal for proper absorption & assimilation. Digestion will be disturbed when the movement of the intestines are very slow. This may lead to chronic malnutrition, deficiency disorders and other complications. Water and electrolyte balance also get impaired in such a condition. Medications and lifestyle changes are needed to manage the disease.
Signos y síntomas
- Acidez
- Gastroesophageal reflux disease (GERD)
- Stomach upset
- Throwing up undigested food
- A feeling of fullness after first few bolus of food while eating
- Bloating & belching
- Lack of appetite and weight loss
- Abnormal values of blood sugar
- Dolor abdominal
Causas
- Padece diabetes.
- Injury to vagus nerve, mostly from surgery
- Hypothyroidism
- Gastroenteritis
- Medications such as narcotics and some antidepressants
- Parkinson’s disease
- Multiple sclerosis
- Rare conditions such as amyloidosis and scleroderma
Fisiopatología
The pathogenesis of primary intestinal motility disorders probably is multifactorial, but neither biochemical abnormality nor structural abnormality has been demonstrated commonly, except in some forms of intestinal pseudo-obstruction. More recently, there is evidence that low-grade mucosal inflammation and immune activation (particularly with mast cell involvement) in association with impaired epithelial barrier function and aberrant neuronal sensitivity may play a role in functional GI disorders.
Diagnóstico
- Clinical examination
- Blood tests
- Barium X-Ray
- Gastric scintigraphy
- 13C-GEBTs
- Gastric manometry
- Electrogastrography
- Ultrasound
- Upper endoscopy
Tratamientos
Treatment highly depends upon the cause.
Changes in Diet and Habits
- Eating six small meals each day rather than three larger ones.
- Have more liquids and low-residue foods,
- Drink plenty of water and fluids like broths, soups, juices, and sports drinks. Avoid high-fat foods, which can slow digestion, and high-fibre foods, which are harder to digest.
- Make sure to take nutritious, yet light & easy to digest food items
- Try walking after eating a main course. Do not lie down immediately after taking food.
Medicamentos:
Medicines like Metoclopramide, Erythromycin and antiemetics can help improve the situation for a while. It is not recommended to take long term medications which cause remarkable adverse reactions.
Other Treatments
- Botox injections to relax the valve, keeping it open for longer so that the stomach can empty.
- Electrical stimulation uses electrodes attached to the stomach wall to trigger stomach contractions.
- In a procedure called per-oral pyloromyotomy (POP), an endoscope is used to cut the pylorus valve so it’s easier for the stomach to empty.
- Patients with obesity and diabetes can have gastric bypass surgery. A small pouch is created from the top part of the stomach and attaches it to the lower end of the small intestine. This limits the quantity of food the patient can eat.
- In severe cases, intravenous nutrition or parenteral nutrition will be needed in which nutrients go straight into the bloodstream through a catheter in a vein.
Pronóstico
Primary intestinal motility disorders which are not associated with malignancy or debilitating pathology have a good prognosis.
Complicaciones
- Dehydration
- Malnourishment
- Deficiency disorders
- Formation of bezoars and obstruction in GIT
Disease & Ayurveda
Ajeerna
Nidana
- Intake of excess food or food which is not familiar or with different/opposite potency
- Intake of food before the previously had meals get digested
- Untimely food intake
- Heavy, cold and heavy foods
- Drinking large quantity of cold water
- Day sleep and keeping awake at night
- Suppression of natural urge
- Other chronic systemic diseases
- Emotions like envy, anxiety and anger
- Food intake with worry, fear, anger, jealousy
- Estrés
- Grief
- Food and habits causing vitiation of Kapha
Purvaaroopa
Not mentioned
Samprapti
When the causative factors vitiate kapha, it gets smeared on the walls of intestines and all channels into and out of it gets obstructed. This causes a loss in the digestive fire. Proper digestion and absorption will not happen in this case. Due to this weakened Agni, undigested and partially digested food retained in the stomach and is called Ama. It contains many toxic produscts to the body and entering into the channels & circulatory system, Ama causes many diseases. This is why Loss of appetite (Agnimaandya) is considered as the root cause of all the diseases in Ayurveda.
Lakshana
- Indigestión
- Decreased appetite
- Loss of taste & salivation
- Sour belching/heartburn
- Heaviness and distension of abdomen
- General malaise
- Dolor de cabeza
- Giddiness/fainting
- Stiffness in the back/hip
- Yawning
- Body aches
- Fiebre
- Vómitos
Divisions
Ama
Vidagdha
Vishtabdha
Rasasesha
Pronóstico
Sukhasadhya
Chikithsa
The Ayurveda treatment of Ajeerna is normalising the Agni. It is done by two steps. One is to remove any Aama (mixture of digested and undigested food particles in stomach which turns toxic to the body) or obstruction in the channels. The next step is to enhance the Agni (digestive fire) and bring it into normal.
Samana
- Upavasam
- Langhanam
- Aamapachana oushadhas
- Agnideepana oushadhas
Sodhana
Sodhana therapies other than Sadyovamana (Therapeutic vomiting) are not indicated in a person with Loss of appetite/indigestion in the initial stage. Once the undigested food is cleared and the person is devoid of Ama, medicines and procedures to improve the Agni can be administered. The panachakarma therapies include:
- Vamanam
- Virechanam
- Asthapanavasti
- Anuvasanavasti
- Sneha-sweada
Medicamentos de uso común
- Pachanamrutam kashayam
- Amritottaram kashayam
- Dhanwantaram gulika
- Abhayarishtam
- Dasamoolarishtam
- Shaddharanam choornam
Ayurvedic Supplements
Marcas disponibles
- AVS Kottakal
- AVP Coimbatore
- SNA oushadhasala
- Vaidyaratnam oushadhasala
Remedios caseros
People may find it easier to eat several smaller meals a day instead of three bigger ones.
Aim to make these meals high in calories and protein to make sure the body is getting plenty of nutrients and energy. People may also find having liquid meals, such as smoothies and protein drinks, easier to take.
Adding herbs, spices, or other flavourings to meals may also encourage people to eat more easily. Eating meals in relaxing or social settings may make eating more enjoyable.
Gentle exercise, such as a short walk, will increase appetite & digestion.
Dieta
- A evitar
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)
Curd – causes vidaaha and thereby many other diseases
- Por añadir
Comidas ligeras y alimentos fáciles de digerir
Green gram, soups, buttermilk boiled with turmeric, ginger and curry leaves
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Comportamiento:
- Avoid day sleeping
- Avoid sedentary lifestyle. Be active.
- Avoid stress and emotional hurricanes.
- Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.
- Avoid lifting heavy weights and other vigorous physical activities.
- Maintain a regular food and sleep schedule.
- Avoid sitting continuously for a long time and avoid squatting.
posturas de Yoga
Regular stretching exercises, cardio work out, and following a specific Yogacharya with yoga asanas like pavanamuktasana, vajrasana, etc are recommended for improving digestion.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within and with surroundings.
In fever conditions, no exercises are recommended.
Pavanamuktasana
Vajrasana
Todos los ejercicios y esfuerzos físicos deben decidirse y realizarse únicamente bajo la supervisión de un experto médico.
Research Articles
https://pubmed.ncbi.nlm.nih.gov/12121888/
Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.

Experto,
Medicina Ayurveda, India
Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.
El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.
A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.
El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com
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